person
Mr. Randall C Randall, LCSW
Mental Health Counselor in Kearns, Utah
NPI 1730106212

Randall C Randall is a Mental Health Counselor based in Salt Lake City, UT and is specialized in Mental Health. Randall C Randall practices in Kearns, UT and has the professional credentials of LCSW. The NPI Number for Randall C Randall is 1730106212 and holds a License No. 4809685-3501 (Utah).

The current practice location address for Randall C Randall is 5242 S 4820 W, Kearns, UT and can be reached out via phone at 801-966-4251 and via fax at 801-966-4289.

Location: 5242 S 4820 W, Kearns, UT, 84106-2537
person
Provider Profile Details
NPI Number
1730106212
Provider Name
Randall C Randall
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
5242 S 4820 W, Kearns, UT, 84106-2537
Phone Number
801-966-4251
Fax Number
801-966-4289
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5242 S 4820 W
City
State
Zip
84118-6422
Phone Number
801-966-4251
Fax Number
801-966-4289
person
Provider Business Mailing Address Details
Address
5242 S 4820 W
City
State
Zip
84118-6422
Phone Number
801-966-4251
Fax Number
801-966-4289
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
4809685-3501 (Utah)
Definition
Definition to come...
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